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Annex 3Animal Bite: Assessment Form
Date/Time of clerking: ___
Patients particular:
Name of patient: ___Registration No:IC: ___ Age: ___Weight: ___
Address:
Contact No:Exposure:
Date of exposure:
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How to fill out animal bite assessment form

How to fill out animal bite assessment form
01
Gather all necessary information about the animal and the incident.
02
Start by filling out the basic information sections such as date, time, and location of the incident.
03
Describe the animal involved in detail including its species, breed, and any identifiable markings.
04
Record information about the animal's owner if available.
05
Detail the circumstances of the incident including how the bite occurred and any provoking factors.
06
Note the severity of the bite and any immediate first aid given.
07
Provide information about the victim including their name, age, contact information, and any relevant medical history.
08
Document any medical treatment given to the victim following the incident.
09
Finally, ensure all required sections are completed and sign the form if necessary.
Who needs animal bite assessment form?
01
Persons who have been bitten or attacked by an animal.
02
Healthcare professionals providing treatment for animal bites.
03
Animal control agencies investigating incidents involving animals.
04
Public health departments monitoring and tracking animal bites.
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What is animal bite assessment form?
An animal bite assessment form is a document used to report and evaluate incidents involving animal bites, typically to assess the risk of rabies and other health concerns.
Who is required to file animal bite assessment form?
Veterinarians, animal control officers, and healthcare providers are typically required to file an animal bite assessment form when they assess an animal bite incident.
How to fill out animal bite assessment form?
To fill out an animal bite assessment form, provide details about the incident, including the date, time, location, animal involved, owner information, and details about the bite victim's injuries.
What is the purpose of animal bite assessment form?
The purpose of the animal bite assessment form is to document the incident for public health surveillance, to facilitate rabies risk assessments, and to help in animal control and public safety measures.
What information must be reported on animal bite assessment form?
Information that must be reported includes the date and time of the bite, the location of the incident, details of the animal involved (such as breed and vaccination status), and the medical status of the person bitten.
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